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The following nutrition diagnosis is written in what type of format: “Poor glycemic control is related to skipping use of oral hypoglycemic agents as evidenced by random blood glucose levels greater than 200 mg/dl”.
SOAP note
POMR
PES statement
Continuity of care record
Answer: C
The nutrition diagnosis “Poor glycemic control is related to skipping use of oral hypoglycemic agents as evidenced by random blood glucose levels greater than 200 mg/dl” is written as a PES statement (P is problem, E is etiology, S is signs or symptoms). Problem = poor glycemic control, Etiology = skipping use of oral hypoglycemic agents, S = blood glucose levels greater than 200 mg/dl.
Question: 46
The level of sodium restriction recommended for congestive heart failure (CHF):
Depends on the level of cardiac decompensation
Is usually 2-3 grams per day
May range from 100-150 mEq
Is dependent on which diuretics are used
Answer: A
The level of sodium restriction recommended for congestive heart failure depends on the level of cardiac decompensation; as cardiac output decreases, the level of sodium restriction becomes stricter. The maximum sodium load tolerated by individuals with acute CHF is usually 1-2 grams a day. One to grams of sodium equals 43 to 87 mEq (milliequivalents).
Question: 47
Which dietary measures are recommended for treating hypercalcuria that is not
associated with renal stones?
Limiting calcium to 1000 mg per day
Increasing fluid intake to 2 liters per day
400 IU vitamin D per day
Limiting animal protein to less than 1.7 g/kg per day
Answer: D
Limiting animal protein to less than 1.7 g/kg per day is recommended for the treatment of hypercalcuria because excessive intakes of animal protein cause calcium loss from the bones. A moderate calcium intake of 600-800 mg of calcium per day is recommended, since lowering calcium intake results in increased absorption. Increasing fluid intake does not prevent hypercalcuria.
Question: 48
The DASH diet is often used to treat:
Diabetes mellitus
Hypertension
Nephritis
Hepatitis
Answer: B
The Dietary Approaches to Stop Hypertension, or DASH, diet was developed to treat hypertension by promoting intake of fruits and vegetables rich in potassium and magnesium, minerals which help lower blood pressure.
Question: 49
A medication which needs to be discontinued in a uremic patient is:
Epogen
Kayexelate
Humulin
Triamterene
Answer: D
A medication which may need to be discontinued in uremia is Triamterene, a potassium-sparing diuretic. Because serum potassium levels are high in uremia, use of potassium-sparing diuretics such as Triamterene is contraindicated. Epogen stimulates red blood cell production, Kayexelate is a potassium-binder, and Humulin is synthetic insulin, all of which may be indicated for use in uremia.
Question: 50
Stomatitis is treated with which of the following dietary interventions?
Supplementation with iron
Clear liquid diet
Avoidance of acidic and spicy foods
A & C
Answer: D
Stomatitis is an inflammation of the mucous membranes of the mouth. It may be caused by iron deficiency, in which case it is treated with iron supplementation. The usual dietary regimen is avoidance of acidic and spicy foods.
Medical BCNS-CNS Exam (Board Certified Nutrition Specialis) Detailed Information
BCNS-CNS Board Certified Nutrition Specialis
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Board Certified Nutrition Specialis certification
Certification Board for foodstuff specialists | BCNS-CNS Real Questions and VCE Practice Test
With foods and sometimes, supplements, nutritionists guide their clients to optimal nutrition.
With meals and infrequently, supplements, nutritionists e-book their shoppers to top-quality meals.
Creatas/Creatas/Getty photographs
proper meals plays a key function in human health. For laypeople, finding a reliable supply for tips on "relevant" nutrients can also be a big difficulty. Books, magazines, television classes and the cyber web all contain large quantities of conflicting tips. The most efficient sources of accurate dietary tips are expert dietitians and nutritionists and health-care practitioners with excessive stages of dietary practicing. The Certification Board for meals specialists verifies their competency with its certified nutrition expert credential.
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